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Improving the public’s health:  Social prescribing, social movements, shaping attitudes and behaviours

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Keynote presentation on the role of social prescribing, for better and worse in local public health service delivery 171117 middletonj salford vr 3 full

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Improving the public’s health:  Social prescribing, social movements, shaping attitudes and behaviours

  1. 1. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours Professor John Middleton President of Faculty of Public Health
  2. 2. Who we are and what we do • The United Kingdom Faculty of Public Health is a faculty of the three Royal Colleges of Physicians of London, Edinburgh and Glasgow (Physicians and Surgeons) • FPH is a membership organisation for nearly 4,000 public health professionals across the UK and around the world • We also have a growing number of student, associate and international members in more than 80 different countries To improve and protect the public’s health: through standards, advocacy, training and knowledge www.fph.org.uk
  3. 3. https://www.youtube.com/watch?v=4Wj7xZf8xm8 Dirty old town – Ewan MacColl
  4. 4. http://socialadventures.org.uk Garden needs Salford http://gardenneeds.or g.uk
  5. 5. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th
  6. 6. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th ‘How continued investment in leisure centres, social housing and market gardens help educate people about lifestyles’
  7. 7. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th Social prescribing, sometimes referred to as community referral, is a means of enabling GPs, nurses and other primary care professionals to refer people to a range of local, non-clinical services. Recognising that people’s health is determined primarily by a range of social, economic and environmental factors, social prescribing seeks to address people’s needs in a holistic way. It also aims to support individuals to take greater control of their own health. Kings Fund 2017.
  8. 8. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th
  9. 9. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th
  10. 10. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th
  11. 11. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th
  12. 12. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th Social prescribing Role with children? Play? Parenting? Children’s mental health development? Weight management? Daily Mile?
  13. 13. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th Social prescribing in Sandwell- a 25 year history
  14. 14. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th Social prescribing More appropriate care
  15. 15. Sandwell welfare rights services
  16. 16. 16
  17. 17. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th Social prescribing Complementary care
  18. 18. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th
  19. 19. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th
  20. 20. Housing and health Repairs on prescription Affordable warmth
  21. 21. 21 Birmingham Sandwell / Urban Living Smart housing manifesto 2004
  22. 22. A box plot of the Baseline SAP measures for the Sandwell MBC housing stock, 1st April 2001, by housing type, n=25,595 dwellings
  23. 23. A box plot of the Baseline SAP measures for the Sandwell MBC housing stock, 31st March 2011, by housing type, n=25,595 dwellings
  24. 24. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th
  25. 25. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th
  26. 26. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th
  27. 27. Asset based public health Community assets
  28. 28. New leisure centres Tipton
  29. 29. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th
  30. 30. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th Social prescribing : shaping attitudes and behaviours? People as ‘assets for health improvement for themselves and their communities’ not ‘problems to be treated’
  31. 31. 32 Sandwell Youth Cabinet
  32. 32. Agewell-Sandwell
  33. 33. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th Social prescribing : shaping attitudes and behaviours? People given skills by their involvement:  CPR training certificates?  Practical knowledge to share with their communities?  Better references for jobs?  Training qualifications?
  34. 34. Asset based community development :Salop drive Community agriculture project, Sandwell
  35. 35. 38
  36. 36. Asset based community development : Cycling in Sandwell
  37. 37. 41 Sandwel l Time Bank
  38. 38. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th Social prescribing : shaping attitudes and behaviours? People entitled to gain from ‘the health dividend’ Corporate citizenship in commissioning and providing health and care Local economic impact assessment
  39. 39. ‘The Health Dividend ’
  40. 40. The 2017 Milroy Lecture: Secure, healthy, inclusive and green – four dividends of a healthier future Professor John Middleton
  41. 41. Options for life ife self built community centre
  42. 42. • The new Midland Metropolitan hospital • Opening 2018 – corporate citizenship offers of construction employment, low carbon footprint, local health service employment, key worker housing and relocation of services to community
  43. 43. ‘Saving lives with Solar’ Royal North Midlands Hospitals, Stoke.
  44. 44. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th Social prescribing : shaping attitudes and behaviours? Recognise the major external environmental and economic influences on health
  45. 45. Lessons in the age of austerity and globalisation
  46. 46. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th
  47. 47. Improving the public’s health: Social prescribing, social movements, shaping attitudes and behaviours University of Salford John Middleton November 17th
  48. 48. Globally, mortality rates have decreased across all age groups over the past five decades, with the largest improvements occurring among children younger than 5 years. However, at the national level, considerable heterogeneity remains in terms of both level and rate of changes in age-specific mortality; increases in mortality for certain age groups occurred in some locations. Countries have saved more lives over the past decade, especially among children under age 5, but persistent health problems, such as obesity, conflict, and mental illness, comprise a “triad of troubles,” and prevent people from living long, healthy lives. Total deaths in children younger than 5 years decreased from 1970 to 2016, and slower decreases occurred at ages 5–24 years. By contrast, numbers of adult deaths increased in each 5-year age bracket above the age of 25 years. Global burden of disease study, 2017 John Middleton The value of the public health practitioner workforce November 15th 2017
  49. 49. These 10 Corporations Control Almost Everything We Eat
  50. 50. http://www.bmj.com/content/358/bmj.j4443? sso=
  51. 51. http://www.bmj.com/content /357/bmj.j2676 Inequalities in health cost £65bn (€74bn; $83bn) in lost productivity and taxes and increased benefits payments plus £5.5bn for direct NHS treatment in 2010.5
  52. 52. Thank you JOHN MIDDLETON president@fph.org.uk

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